Angina Research Today is a free monthly online journal that collates and summarizes the latest research about Angina, including details on symptoms, treatment, causes, prevention, surgery.

Anomalous left main coronary artery from the main pulmonary artery in an elderly patient.

Korach A, Menon P, Dhadly M, Raby KE, Shemin RJ, Shapira OM

Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts 02118, USA.

Anomalous origin of the left main coronary from the pulmonary trunk in an elderly patient is extremely rare. We report a 73-year-old woman who presented with new onset of angina and atrial fibrillation. Evaluation revealed anomalous origin of the left main coronary artery from the main pulmonary artery and tight proximal left anterior descending coronary artery stenosis. The patient underwent primary closure of the anomalous left main coronary artery orifice within the pulmonary artery, aorta-to-left anterior descending coronary artery saphenous vein bypass grafting and Maze procedure. Six months postoperatively the patient was asymptomatic and a Thallium stress test was negative for ischemia.

Published 27 November 2006 in Ann Thorac Surg, 82(6): 2285-7.
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